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Ureteral calculi: extracorporeal shock-wave lithotripsy performed in situ on an outpatient basis

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Summary

Over a 12-month period, 192 patients (200 ureteral calculi) were subjected to extracorporeal shockwave lithotripsy (ESWL) performed in situ on an outpatient basis. Treatment was carried out without the need for anesthesia or sedation in 94% of the cases and without a ureteral catheter in 97%. This approach was effective in 88% of the patients who showed radiological evidence of fragmentation at the end of the procedure, and 81% of the patients were stone-free at the 3-month follow-up. A second ESWL treatment was necessary in 10% of the patients, of whom 12% required either endourological procedures or open surgery. ESWL should be the first therapeutic choice for all kinds of ureteral stones, since it has proved its effectiveness, avoiding hospitalization, anesthesia, and endourological maneuvers.

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Authors and Affiliations

  1. Urolitoclínica, Faculdade de Medicina, São Paulo, Brazil

    A. I. Mitre, J. L. Chambô, W. C. Nahas, B. H. Cabral, A. Henrique, M. V. Sadi & S. Arap

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  1. A. I. Mitre
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  2. J. L. Chambô
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  3. W. C. Nahas
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  4. B. H. Cabral
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  5. A. Henrique
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  6. M. V. Sadi
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  7. S. Arap
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Mitre, A.I., Chambô, J.L., Nahas, W.C. et al. Ureteral calculi: extracorporeal shock-wave lithotripsy performed in situ on an outpatient basis. World J Urol 10, 213–215 (1992). https://doi.org/10.1007/BF00208912

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  • DOI: https://doi.org/10.1007/BF00208912

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